Illinois Autism Center LLC

NPI #1003515925 in Chicago, Illinois

Provider Information

NPI Number: 1003515925
Entity Type: Organization
Organization Name: Illinois Autism Center LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Feb 28, 2023
Last Updated: Feb 28, 2023

Practice Location

Address: 1 E ERIE ST STE 525-179
City: Chicago
State: Illinois
ZIP Code: 60611-2740
Phone: (312) 248-1801

Authorized Official

Name: VLADIMIR KOGAN
Title: CEO
Phone: (312) 248-1801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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